The Heartstart XL is a combination manual device with automated external defibrillator capabilities.

In AED mode, voice prompts and text messages guide users through the defibrillation process, while HeartStart XL continuously monitors and displays the patient’s ECG. When the ALS personnel arrive, HeartStart XL is easily switched from AED to manual mode, thus allowing operators to access the unit’s advanced therapeutic features.

Synchronized Cardioversion

• Philips’ SMART Biphasic waveform has undergone clinical testing, demonstrating its effectiveness for cardioversion of atrial fibrillation.

Easy to Use

• 1-2-3 operation—True 1-2-3 operation makes defibrillation intuitive for all users.
• AED mode—Voice and text prompts guide users through the defibrillation process. 150 Joules non-escalating, pre-set energy level.
• Paddles—Anterior/anterior adult paddles convert to pediatric by removing the outer contacts.
• Multi-function defibrillator pads—Adult and pediatric pads for defibrillation, ECG monitoring, pacing and synchronized cardioversion.
• Sterilizable internal paddles(optional) —Switch and switchless internal paddles are designed for open chest defibrillation in the operating room.

Lightweight, Compact, and Durable

• Grab and go—Less than 6.35kg
• Compact—Easily fits on a standard hospital stretcher.
• Rugged—Withstands the rigors of hospital use and patient transport.

Options

• SpO2 pulse oximetry with alarms.
• Non-invasive pacing.
• 5-Lead ECG.

General Information About Defibrillators

Why Defibrillation?

• Sudden Cardiac Arrest (SCR)-Rapid irregular rhythm causing heart to quiver
• Cause: Ventricular Fibrillation (VF)
  • Can lead to death if emergency shock not delivered
• Defibrillation – to counteract fibrillation

Defibrillator

• Device used to administer an electric current (shock) to the heart
• Types of Defibrillators
  • Manual external
  • Manual Internal
  • Automated External (AED)
  • Semi-Automated External
  • Implantable Cardioverter-Defibrillator (ICD)

Manual External Defibrillator

• Widely used in Hospitals and clinics
• Inbuilt EKG reader
• Clinician Diagnoses the condition and accordingly administers the shock through paddles or pads

Manual Internal Defibrillator

• Exclusively used in Operation Theatres
• Charge delivered through internal paddles in direct contact with the heart

Automated External Defibrillator (AED)

• Used by lay persons requiring little training
• Built in heart rhythm analyzer
• Advices whether shock is required

Semi-Automated External Defibrillators

• Used by paramedics and emergency medical technicians
• Automated capabilities of AED
• With ECG display and manual over ride option

Implantable Cardioverter Defibrillator

• Implants similar to pacemakers
• Constantly monitor heart rhythm
• Automatically administers shock for arrhythmias

Types of waveform – Shape of defibrillation current

• Monophasic damped sine waveform – delivers energy in one direction
  • Relies on adjustment of joule settings
• Biphasic damped sine waveform – bi-directional current flow
  • Measures impedance of patient and delivers precise dose of electricity
  • Uses significantly low energy levels
  • Decreases risk of burn in Myocardial damage